Springer Publishing Blog

Posted on December 16, 2014 by Susan Penner | 0 comments
This blog post was authored by: Susan J. Penner, RN, MN, MPA, DrPH, CNL What is a medical loss ratio (MLR), and why should you care?  The MLR represents the portion of a health insurance plan’s expenses that contribute to direct services for enrollees.  These direct services include medical care and quality improvement efforts. Another term for the MLR is the 80/20 rule.  If 80...